Kim, Chulsoon

Kim, Chulsoon is an sole proprietor health care provider with primary practice located at 3725 75Th St , Jackson Heights NY 11372-6422. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Kim, Chulsoon can be contacted via phone (718) 507-6262.

Contact Information

Primary practice address
3725 75Th St Jackson Heights NY 11372-6422
Phone: (718) 507-6262
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 117576-1 North Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X 117576-1 New York

Profile Details

NPI number 1508904210
LBN Legal business name Kim, Chulsoon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508904210 NPPES
New Mexico Other 0073578 GHI
New Mexico Other 117576-A17 GHI
New Mexico Other 673881 CK GHI
New Mexico MEDICAID 00218268 GHI
New Mexico Other P3602724 GHI
New Mexico Other 169119 GHI
New Mexico Other 17-00464 GHI
New Mexico Other P00104843 GHI

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